Retinol dehydrogenase 12 (RDH12) is an NADP؉ -dependent oxidoreductase that in vitro catalyzes the reduction of all-transretinaldehyde to all-trans-retinol or the oxidation of retinol to retinaldehyde depending on substrate and cofactor availability. Recent studies have linked the mutations in RDH12 to severe early-onset autosomal recessive retinal dystrophy. The biochemical basis of photoreceptor cell death caused by mutations in RDH12 is not clear because the physiological role of RDH12 is not yet fully understood. Here we demonstrate that, although bi-directional in vitro, in living cells, RDH12 acts exclusively as a retinaldehyde reductase, shifting the retinoid homeostasis toward the increased levels of retinol and decreased levels of bioactive retinoic acid. The retinaldehyde reductase activity of RDH12 protects the cells from retinaldehyde-induced cell death, especially at high retinaldehyde concentrations, and this protective effect correlates with the lower levels of retinoic acid in RDH12-expressing cells. Disease-associated mutants of RDH12, T49M and I51N, exhibit significant residual activity in vitro, but are unable to control retinoic acid levels in the cells because of their dramatically reduced affinity for NADPH and much lower protein expression levels. These results suggest that RDH12 acts as a regulator of retinoic acid biosynthesis and protects photoreceptors against overproduction of retinoic acid from all-trans-retinaldehyde, which diffuses into the inner segments of photoreceptors from illuminated rhodopsin. These results provide a novel insight into the mechanism of retinal degeneration associated with mutations in RDH12 and are consistent with the observation that RDH12-null mice are highly susceptible to light-induced retinal apoptosis in cone and rod photoreceptors.Vitamin A derivatives serve two different physiological functions: detection of light in vision and regulation of gene transcription during differentiation and development of cells and tissues. The first function is carried out by 11-cis-retinaldehyde, which serves as a visual chromophore (1). Upon absorption of light, 11-cis-retinaldehyde covalently bound to rod and cone opsins is isomerized to all-trans-retinaldehyde (1). All-transretinaldehyde dissociates from the opsin and is reduced in photoreceptors to all-trans-retinol, which is translocated to retinal pigment epithelium (RPE) and esterified to all-trans-retinyl esters. The resulting retinyl esters are isomerized and hydrolyzed to produce 11-cis-retinol. 11-cis-retinol is oxidized in RPE to 11-cis-retinaldehyde, which is then returned to photoreceptor cells. This sequence of events is known as the retinoid visual cycle and allows for regeneration of 11-cis-retinaldehyde for the next round of visual signal transduction.The function of vitamin A in gene transcription is mediated by retinoic acid, the activating ligand of nuclear transcription factors, retinoic acid receptors (2). Retinoic acid is required for differentiation and development of many tissues and is also o...